Fernandez, Alfredo
Fernandez, Alfredo is an sole proprietor health care provider with primary practice located at 6101 Webb Rd Suite # 101, Tampa FL 33615-2872. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Fernandez, Alfredo can be contacted via phone (813) 496-9663.Contact Information
Primary practice address
6101 Webb Rd Suite # 101
Tampa FL 33615-2872
Phone: (813) 496-9663
Fax: (813) 496-9921
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME44443 | Florida |
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | ME44443 | Florida |
Profile Details
NPI number | 1093829103 |
---|---|
LBN Legal business name | Fernandez, Alfredo |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 18th, 2006 |
Last updated | Oct 2nd, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1093829103 | NPPES |
Florida | Other | 30920 | BCBS |
Florida | MEDICAID | 043586400 | BCBS |
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